©The Author(s) 2025.
World J Crit Care Med. Dec 9, 2025; 14(4): 110669
Published online Dec 9, 2025. doi: 10.5492/wjccm.v14.i4.110669
Published online Dec 9, 2025. doi: 10.5492/wjccm.v14.i4.110669
Table 2 Risk factors associated with fatal outcome in children with clinically relevant raised intracranial pressure, n (%)/median (25th-75th percentiles)
| Characteristics | Survivors (n = 53) | Non-survivors (n = 16) | P value |
| Age, (years) | 6 (1.4-13) | 4.5 (1-9.4) | 0.50 |
| Male patients | 27 (51) | 10 (62) | 0.42 |
| Traumatic brain injury | 24 (45) | 3 (19) | 0.11 |
| Cerebral infection | 1 (2) | 2 (13) | 0.13 |
| Septic shock | 0 (0) | 5 (31) | < 0.001 |
| Hydrocephalus | 5 (9) | 0 (0) | 0.58 |
| Hepatic encephalopathy | 0 (0) | 3 (19) | 0.01 |
| Asphyxia due to drowning | 2 (4) | 1 (6) | 0.55 |
| Abnormal pupils | 10 (19) | 9 (56) | < 0.01 |
| Abnormal posture | 1 (2) | 0 (0) | 0.77 |
| Seizure | 18 (34) | 5 (31) | 0.99 |
| Cushing triad syndrome | 1 (2) | 1 (6) | 0.41 |
| Glasgow Coma Scale | |||
| GCS on PICU admission | 7 (7-7) | 5 (3-7) | < 0.001 |
| GCS at 24 hours | 7 (7-7) | 3 (3-4) | < 0.001 |
| GCS at 48 hours | 7 (7-8) | 3 (3-3) | < 0.001 |
| ONSD on right eyes, (mm) | |||
| ONSD on PICU admission | 5.2 (4.9-5.5) | 5.5 (5.1-5.6) | 0.35 |
| ONSD at 24 hours | 5.1 (4.8-5.3) | 5.6 (5.27-5.73) | 0.03 |
| ONSD at 48 hours | 5.0 (4.63-5.2) | 5.74 (5.24-5.8) | < 0.001 |
| ONSD on left eyes, (mm) | |||
| ONSD on PICU admission | 5.4 (5.0-5.6) | 5.4 (5.18-5.6) | 0.65 |
| ONSD at 24 hours | 5.3 (4.9-5.5) | 5.55 (5.19-5.8) | 0.09 |
| ONSD at 48 hours | 5.1 (4.7-5.3) | 5.66 (5.39-5.84) | 0.003 |
| Vasoactive inotropic score (VIS) | 10 (0-20) | 60 (30-90) | < 0.001 |
| VIS > 30 | 4 (8) | 14 (88) | < 0.001 |
| PELOD-2 score | 4 (4-6) | 12 (11-15) | < 0.001 |
| Mannitol infusion | 27 (51) | 8 (50) | 0.99 |
| Hypertonic saline 3% infusion | 52 (98) | 15 (91) | 0.41 |
| Decompressive craniectomy | 21 (40) | 6 (38) | 0.99 |
| Ventriculoperitoneal shunt | 4 (8) | 1 (6) | 0.57 |
| Length of mechanical ventilation, (days) | 4.2 (3.5-5.0) | 3.3 (2.9-5.9) | 0.77 |
| Length of PICU stay, (days) | 4.6 (3.9-5.6) | 3.3 (2.9-5.9) | 0.90 |
- Citation: Truong DMT, Nguyen MHN, Nguyen HQ, Vo LT, Nguyen TT. Optic nerve sheath diameter trajectories and mortality in children with clinically relevant elevated intracranial pressure. World J Crit Care Med 2025; 14(4): 110669
- URL: https://www.wjgnet.com/2220-3141/full/v14/i4/110669.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v14.i4.110669